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Diagnosis of cancer weakens the patient and can lead to anxiety or depression

Diagnosis of cancer weakens the patient and can lead to anxiety or depression

The diagnosis of cancer continues to be a particularly difficult and intense distress in the life of a person, due to a series of aspects that are mobilized. The break in the usual way of life, the uncertainty and uncertainty of the future, the path of an uncertain treatment, sometimes painful and prolonged, associated with the stigma of a time when there was no treatment available and the possibility of death was imminent. These are determining factors in the configuration of a state of crisis in which emotional fragility becomes an expected consequence.

Despite important advances in the area of ​​oncology, particularly with regard to therapeutic possibilities, cancer remains a a highly stigmatized disease fraught with prejudices and mysteries and stimulating irrational fantasies, shaking the patients' psychological integrity, making them fragile and vulnerable, causing the patient to turn to himself or use psychological defense mechanisms. defense mechanisms have a dual purpose: to fight the anguish unleashed in the face of the threat of disease and to establish a new way of relating the sick person to the environment and to himself. Being, these forms of relationships are the most varied possible, such as aggressiveness, refusal to treatment, low self-esteem, etc., making it difficult for the patient to relate to his family and health team. feelings of difficult elaboration that vary according to the resources of each patient: age, family dynamics, insecurity in the doctor-patient relationship, type of cancer, the moment of life, previous experiences and information received in family, social and cultural development that was born and developed.

The path of an uncertain, painful and prolonged treatment opens.

The patient is usually affected by anger, fear, guilt, resentment and revolt that are permeated by uncertainty and insecurity of the future, and these variables are important for the development of anxiety and depression.

This depression may also be related to the fact that the patient does not co to maintain an attitude of inner acceptance. Not being able to deny the disease, it is forced to new readjustments, as the routine of the treatments, hospitalization. This is a reason for great apprehension and suffering, because it requires a removal from all that is familiar and familiar, bringing experiences of isolation, abandonment and breaking of affective, social, professional ties, etc.

At the same time, the the path of an uncertain, painful and prolonged treatment that marks the body, shocks the family, often distances friends, weakens plans and puts the patient in front of one of the most distressing issues of human existence: the reality of finitude. The patient needs people who can give him affection and support in those difficult times of his existence.

The patient's family also experiences this moment with uncertainty, insecurity, impotence and guilt. It suffers, it distresses itself, it despairs, it animates itself, it becomes depressed, it feels sorry. This can work either as an aid element or as an element that exacerbates the condition of disability and dependence. In general, the more cohesive families renew and tend to unite to meet immediate needs, to develop acceptance of the disease and to face doubts about the uncertain future. The most vulnerable usually break up.

Side effects often prevent the patient from playing their role in the family and professional environment, but also generate important changes in the physical and corporal aspect. In addition, the uncertainty related to the efficacy of the proposed treatment is always present.It is important to be aware that the patient has a perception of what is happening to him and the people around him. The patient needs people who can give him affection and support in those difficult times of his life, and not of people who communicate with him only out of duty, obligation, interest or false hope. When establishing the end of the treatment, it is also established the contact with feelings of ambiguity. Happiness and relief come along with fear and insecurity.

It is at this point that the patient is faced with a return to his previous family, social, and professional activities. The possibility of making plans and having expectations of the future resurfaces. At the same time, it is common at this moment to appear feelings of vulnerability (the smallest physical symptoms can be interpreted as signs of return or progression of the disease), abandonment (imaginatively, no need for medication anymore has the meaning of being unprotected). Considering all these aspects, one can understand that from the news of the diagnosis until the end of the treatment the patients go through critical periods, permeated by an important emotional overload.

In this sense, it is important to point out that psycho-oncological care is fundamental to assist the patient in the crossing of this period and can favor the meeting of better solutions to their anguish, their doubts and their inherent desires or arising from illness and, consequently, facilitate the appropriation of more adequate resources to face the situation actively and participant .

So the important idea is that we should not deny to suffer, as our own unpreparedness and anxiety usually demand, but rather to verify its existence within its real dimension, aiming at the attainment of its overcoming by means of a daily work of decoding the numerous difficulties that configure it.


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